Abstract:

To summarize the early identification and perioperative nursing experience of 15 patients with peritoneal dialysis complicated with pleuroperitoneal communication undergoing diaphragmatic repair. For peritoneal dialysis patients，the occurrence of pleuroperitoneal communication is easily overlooked，and improper postoperative nursing can lead to recurrence，atelectasis，and other issues. To address these issues，preoperative precise stratified management and early identification of pleuroperitoneal communication was taken，and perioperative nursing plan was developed by multidisciplinary cooperation. After operation，the nursing measures such as small dose progressive dialysis program，closed thoracic drainage and seven-step functional exercise coordinated lung rehabilitation were implemented. After careful treatment and nursing，15 patients recovered and were discharged. During the follow-up of 3 to 48 months，15 patients didn’t have pleuroperitoneal communication again，and they were treated with peritoneal dialysis regularly.

Key words: Peritoneal Dialysis, Pleuroperitoneal Communication, Diaphragmatic Repair, Perioperative Nursing